Xue Caixiu, Xu Lei, Yang Ke, Wang Jia, Xie Xiaohui, Zhou Wansha, Liu Qilan, Deng Renli, Wang Lianhong
Nursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Nursing College, Zunyi Medical University, Zunyi, China.
Digit Health. 2024 May 7;10:20552076241252648. doi: 10.1177/20552076241252648. eCollection 2024 Jan-Dec.
The escalating global aging population underscores the need to effectively manage geriatric diseases, constituting a significant public health concern. Community-based rehabilitation has emerged as a crucial and accessible paradigm for the rehabilitation of older adults. In China, however, the practical implementation of community-based rehabilitation faces formidable challenges, including a dearth of specialized rehabilitation therapists, substantial disparities between demand and supply, and suboptimal satisfaction rates. We aimed to develop a community-based rehabilitation management platform for older adults centered around digital health technology, with the plan to conduct a cluster randomized controlled trial to gather more evidence to explore the best practices and service models of community-based rehabilitation based on digital health technology.
This cluster randomized controlled trial will be conducted in Zunyi City, China. We will recruit 286 adults aged ≥60 years and randomly allocate 20 subdistricts in a 1:1 ratio into either the intervention group, which will use the application, or the control group, which will be given a Rehabilitation Information Booklet for Older Adults. Both groups will undergo a 12-month rehabilitation management program, encompassing six months of guidance and an additional six months of follow-up through online and offline methods. The evaluation indicators will be assessed at enrollment and at 3, 6, and 12 month.
This study endeavors to furnish novel insights to develop a tailored community-based rehabilitation management program for older adults, delivering customized, intelligent, and precise rehabilitation services.
全球老龄化人口不断增加，凸显了有效管理老年疾病的必要性，这是一个重大的公共卫生问题。基于社区的康复已成为老年人康复的关键且可及的模式。然而，在中国，基于社区的康复实际实施面临巨大挑战，包括专业康复治疗师短缺、供需差距大以及满意度欠佳。我们旨在围绕数字健康技术开发一个针对老年人的基于社区的康复管理平台，并计划进行一项整群随机对照试验，以收集更多证据，探索基于数字健康技术的社区康复最佳实践和服务模式。
这项整群随机对照试验将在中国遵义市进行。我们将招募286名年龄≥60岁的成年人，并将20个街道以1:1的比例随机分配到干预组（使用该应用程序）或对照组（给予《老年人康复信息手册》）。两组都将接受为期12个月的康复管理计划，包括6个月的指导以及通过线上和线下方式进行的额外6个月随访。评估指标将在入组时以及3、6和12个月时进行评估。
本研究致力于提供新的见解，以制定针对老年人的量身定制的基于社区的康复管理计划，提供定制化、智能化和精准的康复服务。
